AIRWAY
CLASSIFICATION
Mallampatl Classification:
Class
1: Visualize
the
soft
palate, fauces, uvula,
anterior
and
posterior Tons
liar pillars
Class
2: Visualize the
soft
palate, fauces, & uvula only
Class
3: Only the
soft
palate and base
of
the
uvula are visible
Class
4: Only the
soft
palate can be seen
Laryngoscopic
Vlew
Grades
:
Grade 1: Full
v1ew
of
ent•re glottis opening
Grade 2: Posterior
portion
of
the glottis opening
1s
VISible
Grade 3:
Only
the
epiglottis is visible
Grade 4: Only
the
soft palate IS visible
ASA
CLASSIFICATIONS
1-Normal healthy
patient
11-Mlld
systemic disease
{(!I
functional limitations)
Ill-Severe systemic disease {some
functlonallimltation)
IV-Severe systemic disease
w/
constant threat
to
hfe
V-
Morlbund
patient
who
is
not
expected
to
surv~ve
without
surgery
VI-Brain dead patient whose organs are being removed
for
donation
NORMAL BLOOD
GAS
VALUES
pH::7.
35
7.
45
Pa02
:90-
100
PaC01:::\S-4S
HCO!c22·
26
BEz:
·2
to
2
Sa0f'95·98%
RESPIRATORY
FORMULAS
V02.,
10
x
ki("
VC01 =
8x
kg
11
•
Alveolar Air Equation
(F10
1x
(PI>
-
PH
10)) -PaC01
/0
.8
Arterial
02
Content/100
ml bid
(H
gb
x 1.
34
x Sa02) +
(PaO~
K 0.003)
BLOOD
LOSS
MANAGEMENT
Estimated Blood
Volume
(EBV)
;
Premature
mfant:95
ml/kg
• Full-term lnfant=8S
ml/kg
•
Infant
to
12 mo::80
ml/kg
• Adult/child male
=75
ml/kg
• Adult/chlld
female
:
65
ml/kg
•
Morbid
Obese=60 ml/k& {BMI > 40)
Allowable
Blood
Loss
(ABL):
([EBV
x
HctsrAII
nJ><G
I - !EBV x
Hc~MU])
x 3
HctAUOWAit£
-30%
Fluid Replacement
Equlv<~lent
• Crystalloid: 3
ml/1
ml
EBL
• Colloids: 1
ml/1
ml
EBL
•
Whole
Bid:
1ml/1ml
EBL
• Packed
RBC
:
Y.
ml/l
ml
EBL
•
PRBC
Hct
= 70%
Fully soaked 4x4 -
10
ml
blood
Fully soaked
"lap•
100-
150
ml
blood
4
ml/kg/hr
for
first
10
kg
2
ml/kg/hr
for
next 10 kg
1
ml/kg/hr
for
each
kg
> 20
~
' '
[\!
•
II
IT
Main
rate
x hours
NPO
l p
~
-
Mmimal
=
Q-2
ml/kg/hr
Moderate.:: 2-4
ml/kg/hr
Severe = 4-8
ml/kg/hr
BMI
Wt
Ka/ht
in
mJ
>23-25 Healthy
>25 Overweight
28 Onset
Wt
related disease
>30 Obese
35
·
40
Morb
id
Obesity
>55 Super
Morbid
Obesity
MAliGNANT
HYPERTHERMIA
Trigge~
:
Halothane, Enflurane. lsoOurane, Sevoflurane, Oesflurane,
Succinylcholine
Sings
of
Onset: Tachycardia, Tachypnea,
1'EtCO~
Skln
Mottling
,
Arrhythmias,
1'Body
Temp, Unstable
BP,
Cola-colored Urine, Muscle
Rigidity, Masseter Spasm
Tre<~tment
l.
Stop
trlgering
agent Immediately
2. Hyperventilate
with
100% O,
at
high
flow
3. Administer Oantrolene 2.5
mg/kg
IV
Repeat Q 5-10
min
until
symptoms controlled
Max
dose
10mg/kg
4. Correct metabolic acidosis
5. Correct hyperkalemia
6. Actively cool
patient
7. Check labs Q
l5
min
until
stable
8. Maintain urine
output>
2
ml/kg/hr
with
hydration,
Mannitol,
or
laslx
_,-_-~=-:_··.:
: -
·:-.:::
~
~--~~~
~."
~"~
.~-
•,"'";~·
• I
:.~·1
~
1
~~~
.~.
~~~!._!_L,:
Preemies s 1 kg 2.5
P
re
emies 1-Z.S
ka
3.0
T
erm
neonate- 6
mo
3.0· 3.5
6m
o-
1yr
3.5-4.0
1-2 yrs 4.
0-4
.5
BeyondZy
rs
Tube Depth (age/2) +12
1
1
~
2
z
~
3
4
Dedicated
to
the
Class
of
2012
1'
to
5 kg
up
to
4 mL (air)
5-
10
kg
up
to
7
ml
1Q.20
kg
up
to
10
ml
2Q.30 kg
up
to
14
ml
>30
kg
up
to20
ml
Adu
lt
up
to
30
ml
By: Debra
Maloy
· Jeff Carroll · Amanjot Dhaliwal· Yvonne
Murphy
·
Shana Thompson
Texas
We
s
leyan
Anesthesia Cheat Sheet
GAADUAfl
!JitOOitAHS
01'
N
Uitll
ANIIfH
I
UIA
